BRPI0802232A2 - cateter de ablaÇço com ponta condutora oticamente transparente e eletricamente condutora - Google Patents

cateter de ablaÇço com ponta condutora oticamente transparente e eletricamente condutora

Info

Publication number
BRPI0802232A2
BRPI0802232A2 BRPI0802232-1A BRPI0802232A BRPI0802232A2 BR PI0802232 A2 BRPI0802232 A2 BR PI0802232A2 BR PI0802232 A BRPI0802232 A BR PI0802232A BR PI0802232 A2 BRPI0802232 A2 BR PI0802232A2
Authority
BR
Brazil
Prior art keywords
light
tissue
inner layer
catheter
electrode
Prior art date
Application number
BRPI0802232-1A
Other languages
English (en)
Inventor
Christopher Beeckler
Chad Allen Lieber
Shiva Sharareh
Original Assignee
Biosense Webster Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biosense Webster Inc filed Critical Biosense Webster Inc
Publication of BRPI0802232A2 publication Critical patent/BRPI0802232A2/pt

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/14542Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue for measuring blood gases
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/1455Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/1459Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters invasive, e.g. introduced into the body by a catheter
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B82NANOTECHNOLOGY
    • B82YSPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
    • B82Y30/00Nanotechnology for materials or surface science, e.g. nanocomposites
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B82NANOTECHNOLOGY
    • B82YSPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
    • B82Y5/00Nanobiotechnology or nanomedicine, e.g. protein engineering or drug delivery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/0088Material properties ceramic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00125Coatings on the energy applicator with nanostructure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • A61B2018/00815Temperature measured by a thermistor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • A61B2018/00821Temperature measured by a thermocouple
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • A61B2090/3614Image-producing devices, e.g. surgical cameras using optical fibre
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/373Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Chemical & Material Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Nanotechnology (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Crystallography & Structural Chemistry (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Composite Materials (AREA)
  • General Physics & Mathematics (AREA)
  • Materials Engineering (AREA)
  • Condensed Matter Physics & Semiconductors (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Biotechnology (AREA)
  • General Engineering & Computer Science (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Laser Surgery Devices (AREA)

Abstract

CATETER DE ABLAÇçO COM PONTA CONDUTORA OTICAM ENTE TRANSPARENTE E ELETRICAMENTE CONDUTORA. A presente invenção se refere a um cateter que permite mensurações de luz em tempo real, por exemplo, sem limitação, refletância difusa, fluorescência, etc., a partir de materiais biológicos, tal como tecido (incluindo sangue), enquanto realiza ablação por RF. A ponta do cateter isola os trajetos de iluminação e de coleta de modo que a luz sai da ponta do cateter e percorre através do tecido de interesse (por exemplo, tecido cardíaco ou sangue) antes de retornar para a ponta do cateter. A referida configuração vantajosamente evita a saturação do detector ótico, e garante a difusão da luz de iluminação dentro do meio de interesse. O cateter é dotado de um corpo de cateter e um eletrodo de ponta. O eletrodo de ponta apresenta um invólucro exterior, uma camada interna de material difuso e uma cavidade oca, onde a camada interna é configurada para transmitir luz para fora do eletrodo de ponta para o tecido por meio de aberturas de iluminação na parede do invólucro e a cavidade oca é configurada para receber luz a partir do tecido por meio de um conjunto de aberturas de coleta na parede do invólucro e camada interna. Uma superfície interna da camada interna apresenta um revestimento refletor para isolar a luz injetada dentro da camada interna a partir da luz coletada na cavidade oca. Há um primeiro guia de ondas óticas que se estende entre o corpo de cateter e o eletrodo de ponta para injetar luz dentro da camada interna e iluminar o tecido, e um segundo guia de ondas óticas que se estende entre o corpo de cateter e o eletrodo de ponta para coletar a luz recapturada na cavidade oca.
BRPI0802232-1A 2007-06-29 2008-06-30 cateter de ablaÇço com ponta condutora oticamente transparente e eletricamente condutora BRPI0802232A2 (pt)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11/824,038 US8123745B2 (en) 2007-06-29 2007-06-29 Ablation catheter with optically transparent, electrically conductive tip

Publications (1)

Publication Number Publication Date
BRPI0802232A2 true BRPI0802232A2 (pt) 2009-02-25

Family

ID=39722558

Family Applications (1)

Application Number Title Priority Date Filing Date
BRPI0802232-1A BRPI0802232A2 (pt) 2007-06-29 2008-06-30 cateter de ablaÇço com ponta condutora oticamente transparente e eletricamente condutora

Country Status (9)

Country Link
US (1) US8123745B2 (pt)
EP (1) EP2008603B1 (pt)
JP (1) JP5306722B2 (pt)
CN (1) CN101332120B (pt)
BR (1) BRPI0802232A2 (pt)
CA (1) CA2636482C (pt)
DE (1) DE602008002477D1 (pt)
MX (1) MX2008008618A (pt)
RU (1) RU2473319C2 (pt)

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DE602008002477D1 (de) 2010-10-28
CN101332120A (zh) 2008-12-31
RU2473319C2 (ru) 2013-01-27
CA2636482A1 (en) 2008-12-29
US8123745B2 (en) 2012-02-28
RU2008126323A (ru) 2010-01-10
EP2008603A1 (en) 2008-12-31
CN101332120B (zh) 2013-03-13
EP2008603B1 (en) 2010-09-15
US20090005773A1 (en) 2009-01-01
JP5306722B2 (ja) 2013-10-02
CA2636482C (en) 2016-10-25
JP2009056289A (ja) 2009-03-19
MX2008008618A (es) 2009-03-04

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